Document Detail


Ocular toxicity due to 4-aminoquinoline derivatives
MedLine Citation:
PMID:  18235926     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Retinal toxicity of chloroquine has been extensively studied since its first description in 1957. This drug is used on a chronic basis to treat several rheumatologic and dermatologic diseases, a there is a trend to use hydroxychloroquine rather than chloroquine. The recommended dose for hydroxychloroquine is 4 mg/kg lean body weight per day. The clinical picture of chloroquine retinopathy is characterized by a paracentral visual field scotoma with associated parafoveal retinal pigment epithelium atrophy, known as 'bull's eye maculopathy. The visual field and Amsler grids are the exams that early detect toxicity retinopathy. The authors aim to review the pathogenesis, clinical features, differential diagnosis, complementary exams, and treatment. The sources of references were PubMed (MEDLINE), LILACS and Ophthalmology Library databases.
Authors:
Enéias Bezerra Gouveia; Maira Saad de Avila Morales; Gedeão Bezerra Gouveia; Valeria Pinheiro M Lourenzi
Publication Detail:
Type:  English Abstract; Journal Article; Review    
Journal Detail:
Title:  Arquivos brasileiros de oftalmologia     Volume:  70     ISSN:  0004-2749     ISO Abbreviation:  Arq Bras Oftalmol     Publication Date:    2007 Nov-Dec
Date Detail:
Created Date:  2008-01-31     Completed Date:  2008-08-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400645     Medline TA:  Arq Bras Oftalmol     Country:  Brazil    
Other Details:
Languages:  por     Pagination:  1046-51     Citation Subset:  IM    
Affiliation:
Centro Médico INTERSAUDE. ebgouveia@uol.com.br
Vernacular Title:
Toxicidade ocular por derivados da 4-aminoquinolona.
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MeSH Terms
Descriptor/Qualifier:
Aminoquinolines / adverse effects*
Antimalarials / adverse effects*
Corneal Diseases / chemically induced*
Diagnosis, Differential
Humans
Hydroxychloroquine / adverse effects
Macular Degeneration / diagnosis
Retinal Diseases / chemically induced*
Chemical
Reg. No./Substance:
0/Aminoquinolines; 0/Antimalarials; 118-42-3/Hydroxychloroquine; 578-68-7/4-aminoquinoline

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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